K Number
K200155
Device Name
Bright High Flow
Manufacturer
Date Cleared
2020-11-30

(313 days)

Product Code
Regulation Number
872.3690
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
1) Base/liner 2) Pit & Fissure sealant
Device Description
Bright Flow is a light-cured flowable composite resin. It comprises two different types of flowability (Low Flow and High Flow) and 9 shades depending on the intended use, which enables aesthetic and durable outcomes for anterior and posterior composite restorations.
More Information

Not Found

No
The summary describes a composite resin material and its physical properties, with no mention of AI or ML.

No
The device is a dental restorative material (flowable composite resin) used for restorations, not a device intended to treat or cure a disease or medical condition.

No
Explanation: The device is described as a light-cured flowable composite resin used for restorations, which is a treatment rather than a diagnostic function.

No

The device description clearly states it is a "light-cured flowable composite resin," which is a physical material, not software.

Based on the provided information, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use/Indications for Use: The intended uses are "Base/liner" and "Pit & Fissure sealant." These are procedures performed directly on the patient's tooth, not tests performed on samples taken from the body.
  • Device Description: The device is a "light-cured flowable composite resin" used for "anterior and posterior composite restorations." This describes a material used for dental fillings and sealants, which are therapeutic or restorative procedures.
  • Lack of IVD Characteristics: The description does not mention any analysis of biological samples (blood, urine, tissue, etc.) or any diagnostic purpose. IVDs are designed to diagnose diseases or conditions based on the analysis of such samples.

Therefore, this device falls under the category of a dental restorative material, not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

  1. Base/liner
  2. Pit & Fissure sealant

Product codes

EBF, EBC

Device Description

Bright Flow is a light-cured flowable composite resin. It comprises two different types of flowability (Low Flow and High Flow) and 9 shades depending on the intended use, which enables aesthetic and durable outcomes for anterior and posterior composite restorations.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Human tooth, Dentin, Enamel

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Prescription Use

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies

Biocompatibility testing on the proposed Bright High Flow has been completed. Requirements for biological evaluation of the proposed device were based on FDA recognized concensus standard of ISO10993, "Biological Evaluation of Medical Devices, Part 1: Evaluation and Testing." The biocompatibility test results show that the materials used in the design and manufacture of the components of the proposed device are non-toxic and non-sensitizing to biological bone and tissues with its intended use. The following biocompatibility tests were completed: Cytotoxicity (ISO 10993-5), Irritation (ISO 10993-10), Sensitization (ISO 10993-10), Acute systemic toxicity (ISO 10993-11), Genotoxicity (ISO 10993-3), Implantation (ISO 10993-6), Chronic toxicity (ISO 10993-11). All tests passed.

The proposed Bright High Flow was evaluated using the following performance bench testing to confirm the performance characteristics: Visual (ISO 4049), Capacity (ISO 4049), Package (ISO 4049), Sensitivity to Ambient Light (ISO 4049), Depth of Cure (ISO 4049), Shade (ISO 4049), Color Stability (ISO 4049), Flexural Strength (ISO 4049), Water Sorption (ISO 4049), Solubility (ISO 4049), Radio-opacity (ISO 4049). All tests passed.

Key Metrics

Not Found

Predicate Device(s)

K091388

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 872.3690 Tooth shade resin material.

(a)
Identification. Tooth shade resin material is a device composed of materials such as bisphenol-A glycidyl methacrylate (Bis-GMA) intended to restore carious lesions or structural defects in teeth.(b)
Classification. Class II.

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Image /page/0/Picture/0 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). The logo consists of two parts: the Department of Health & Human Services logo on the left and the FDA acronym along with the full name of the agency on the right. The FDA acronym is in blue, and the full name of the agency, "U.S. Food & Drug Administration," is in a smaller font size below the acronym.

November 30, 2020

GENOSS Co., Ltd. Hong Jeon Manager 1F, Gyeonggi R&DB Center, 105 Gwanggyo-ro, Yeongtong-gu, Suwon-si Suwon-si, 16229 KOREA

Re: K200155

Trade/Device Name: Bright High Flow Regulation Number: 21 CFR 872.3690 Regulation Name: Tooth Shade Resin Material Regulatory Class: Class II Product Code: EBF, EBC Dated: October 22, 2020 Received: October 22, 2020

Dear Hong Jeon:

We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (Act) that do not require approval of a premarket approval application (PMA). You may, therefore, market the device, subject to the general controls provisions of the Act. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. The general controls provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.

Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's

1

requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); medical device reporting of medical device-related adverse events) (21 CFR 803) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); good manufacturing practice requirements as set forth in the quality systems (OS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.

For comprehensive regulatory information about mediation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medicaldevices/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely,

for Srinivas "Nandu" Nandkumar, Ph.D. Director DHT1B: Division of Dental Devices OHT1: Office of Ophthalmic, Anesthesia, Respiratory, ENT and Dental Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health

Enclosure

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Image /page/2/Picture/0 description: The image shows the word "GENOSS" in a stylized font. The first three letters, "GEN", are in a dark green color. The last three letters, "OSS", are in a lighter green color.

Indication for use

510(k) Number: K200155

Device Name: Bright High Flow

Indication for use:

  1. Base/liner

  2. Pit & Fissure sealant

Prescription Use __ V__ (Part 21 CFR 801 Subpart D)

AND/OR

Over-The-Counter Use _________________________________________________________________________________________________________________________________________________________ (21 CFR 801 Subpart C)

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE OF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Indication for use

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Image /page/3/Picture/1 description: The image shows the word "GENOSS" in green font. The first three letters, "GEN", are in a darker green, while the last three letters, "OSS", are in a lighter green. The letters are all capitalized and have a bold appearance. The word appears to be a logo or brand name.

510(k) Summary

12/20/2019

1. Company

Submitter
NameGENOSS Co., Ltd.
Address1F, Gyeonggi R&DB Center / 226, 2F, GSBC, 105
Gwanggyo-ro, Yeongtong-gu, Suwon-si, Gyeonggi-do, Korea
Phone/Fax+82-70-7098-7541/ +82-31-888-5105
Contact personHongJun Jeon / RA
hjjeon@genoss.com
Summary Date12/20/2019

2. Device Name

Proprietary name: Bright High Flow Regulation description : Light-cured Flowable Composite Resin Classification name: Tooth shade resin material

3. Predicate Device

K091388 G-aenial Universal Flo

4. Description

Bright Flow is a light-cured flowable composite resin. It comprises two different types of flowability (Low Flow and High Flow) and 9 shades depending on the intended use, which enables aesthetic and durable outcomes for anterior and posterior composite restorations.

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Image /page/4/Picture/0 description: The image shows the word "GENOSS" in a stylized font. The letters "GENO" are in a dark green color, while the letters "SS" are in a lighter green color. The font is bold and sans-serif, with the letters connected to each other.

5. Indication for use

    1. Base/liner
    1. Pit & Fissure sealant

6. Technological Characteristics

Bright High Flow has the similar technological characteristics as the predicate device; main material, indication for use and design. Technological characteristics of Bright High Flow, Gaenial Universal Flo are as following.

Device nameBright High FlowG-aenial Universal Flo
ManufacturerGenoss Co., Ltd.GC America, Inc.
510(k) NumberNew DeviceK091388
ClinicalTarget populationHuman toothHuman tooth
PurposeDirect restorationDirect restoration
Site of applicationDentin, EnamelDentin, Enamel
Clinical PerformanceHigh flexural strength and strong bondingHigh flexural strength and strong bonding
BiologicalMaterialsMethacrylate resins, Fillers
(Barium glass, Silica)Methacrylate resins, Fillers
(Barium glass, Silica)
Chemical SafetyBiocompatibleBiocompatible
SterilizationNon-sterileNon-sterile
Shelf-Life2 years3 years
TechnicalFormPastePaste
Indication for use1) Base / liner
  1. Pit & Fissure sealant | 1) Direct restorative for Class I, IV, III,
    II and V cavities.
  2. Fissure sealant
  3. Sealing hypersensitive areas
  4. Repair of (in) direct aesthetic
    restorations, temporary crown &
    bridge, defect margins when margins |

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Image /page/5/Picture/0 description: The image shows the word "GENOSS" in a stylized font. The first three letters, "GEN", are in a dark green color, while the last three letters, "OSS", are in a lighter green color. The letters are connected and have a rounded, modern look.

| | | are in enamel
5) Blocking out undercuts
6) Liner or base |
|-------------------|---------------------------------------------------------------|----------------------------------------------------------------|
| Use | Prescription | Prescription |
| Depth of cure | ISO 4049:2009 7.10 (More than 1.5 mm) | |
| Water Sorption | ISO 4049:2009 7.12 (Less than 40 $\mu g/mm^3$ ) | |
| Solubility | ISO 4049:2009 7.12 (Less than 7.5 $\mu g/mm^3$ ) | |
| Flexural Strength | ISO 4049:2009 7.11 (More than 80 MPa) | |
| Radio-opacity | ISO 4049:2009 7.14 (More than the same thickness of aluminum) | |

7. Performance Data

Biocompatibility testing on the proposed Bright High Flow has been completed. Requirements for biological evaluation of the proposed device were based on FDA recognized concensus standard of ISO10993, "Biological Evaluation of Medical Devices, Part 1: Evaluation and Testing." The biocompatibility test results show that the materials used in the design and manufacture of the components of the proposed device are non-toxic and non-sensitizing to biological bone and tissues with its intended use. The following biocompatibility tests were completed:

(P: Pass, F: Fail)

No.TestMethodAcceptance criteriaP/FReport No.
1CytotoxicityISO 10993-5None cytotoxicityPCDM-18-0061-
12
2IrritationISO 10993-10None oral irritationPMTK-2018-
000707
3SensitizationISO 10993-10None sensitizationPMTK-2018-
000706
4Acute systemic
toxicityISO 10993-11None systemic
toxicityPMTK-2018-
000706
5GenotoxocityISO 10993-3None genotoxicityPMTK-2018-
000705

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Image /page/6/Picture/0 description: The image shows the logo for GENOSS. The word "GENOSS" is written in a sans-serif font. The letters "GEN" are in a dark green color, while the letters "OSS" are in a lighter green color. The logo has a modern and clean design.

6ImplantationISO 10993-6BiocompatiblePBER-18-028
7Chronic toxicityISO 10993-11No chronic toxicityPBER-18-028

The proposed Bright High Flow was evaluated using the following performance bench testing to confirm the performance characteristics:

No.ItemsMethodAcceptance CriteriaP/FFile No.
1VisualISO 4049No impurities and No specific changesPCDM-18-0061-01
2CapacityISO 4049Capacity error of; Standard Capacity $\lt \pm 5%$PCDM-18-0061-02
3PackageISO 4049No damagePCDM-18-0061-03
4Sensitivity to Ambient LightISO 4049Must be physically uniformPCDM-18-0061-04
5Depth of CureISO 4049More than 1.5 mmPCDM-18-0061-05
6ShadeISO 4049Must be shade uniformPCDM-18-0061-06
7Color StabilityISO 4049Color should be stablePCDM-18-0061-07
8Flexural StrengthISO 4049More than 80 MPaPCDM-18-0061-08
9Water SorptionISO 4049Less than 40 $\mu g/mm^3$PCDM-18-0061-09
10SolubilityISO 4049Less than 7.5 $\mu g/mm^3$PCDM-18-0061-10
11Radio-opacityISO 4049More than AlPCDM-18-0061-11

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Image /page/7/Picture/0 description: The image shows the word "GENOSS" in a stylized font. The first three letters, "GEN", are in a dark green color. The last three letters, "OSS", are in a lighter green color.

All test results demonstrate that the materials chosen, the manufacturing process, and the design utilized for the Bright High Flow met the established specifications necessary for consistent performance according to its intended use.

8. Conclusion

Based on the information provided in this premarket notification of GENOSS Co., Ltd. Concludes that Bright High Flow is acceptable and safe, substantially equivalent to predicate devices.